James Darryl Gutzman, PA-C, RN, FNP
Individual provider Active NPI Physician Assistant · Lake Isabella, CA
NPI 1295834844 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1295834844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 18373 (CA)
- Practice address
- 6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726 - Phone
- (760) 379-8630
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sienna Medical Corporation
Practice addresses (Care Compare)
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone (760) 379-8630
Hospital & facility affiliations
- Compassionate Care Home Health Agency, LLC
- Around the Clock Home Care
- Kern Valley Healthcare District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111027000258 | CA | Practitioner - Physician Assistant | 9739352378 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 475773 | CA | MD | Registered Nurse |
| 18373 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kern Valley Healthcare District | Past | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18373 | CA | Yes |
| Registered Nurse | 163W00000X | 475773 | CA | |
| Nurse Practitioner | 363L00000X | 16243 | CA |
Addresses
Primary practice location
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Mailing address
6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726
Phone (760) 379-8630
Other providers in Lake Isabella, CA
- Rocio Garcia
- Joan Mary Gardner
- Paul Andrew Lincoln Giem
- Lloyd Edward Graham
- Robert Gross
- Kelly R Hastings
- Nolan Hinkey
- Wendy Hinkle
- Terry Holbrook
- Andrea Kate Hood
All providers in Lake Isabella, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.